MEDICARE: CORY MACKENZIE RUSH D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	30205	TX
2	122300000X	Dentist	9934	AZ

General Provider Information

NPI Number	:	1194131557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORY MACKENZIE RUSH D.M.D.

Provider Business Mailing Address
First Line	:	2553 E LINDA LN
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-1305
Country	:	US
Telephone Number	:	602-300-1059
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 E RAY RD STE 112
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-4705
Country	:	US
Telephone Number	:	480-893-7674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	03/17/2018

Similar Medicare Providers

1144168626 — TEAM KIDS DENTAL PLLC
Practice Location Address:

4350 E RAY RD STE 121
PHOENIX, AZ
85044-4705

Practice Phone: 480-759-3333
Practice Fax: 480-621-7022

1376654715 — DR. KENNETH ERNEST DANYLUK D.M.D.
Practice Location Address:

4350 E RAY RD STE 121 BLDG 4
PHOENIX, AZ
85044-4705

Practice Phone: 480-759-3333
Practice Fax:

1730867805 — DR. KYLER CAMPBELL DDS
Practice Location Address:

4350 E RAY RD STE 115
PHOENIX, AZ
85044-4705

Practice Phone: 480-706-6165
Practice Fax:

1861459042 — MS. PATRICIA SUE TILLACK ANP
Practice Location Address:

9224 N 28TH ST
PHOENIX, AZ
85028-4705

Practice Phone: 602-510-6977
Practice Fax: 602-795-1442

1497760201 — HEALTH MAX GROUP, LLC
Practice Location Address:

11070 N 24TH AVE STE 100
PHOENIX, AZ
85029-4705

Practice Phone: 602-287-0003
Practice Fax: 602-287-0005

1073848867 — ALPHA GROUP ADMINISTRATORS, INC.
Practice Location Address:

11070 N 24TH AVE
PHOENIX, AZ
85029-4705

Practice Phone: 602-375-8553
Practice Fax: 602-375-0057

Directions to “ CORY MACKENZIE RUSH D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.